OCD, Anxiety & Bipolar Mania

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I don’t know if there is an evidence showing link between OCD and Bipolar Mania. I just recently had worst obsessions (Pure O and Mental Rituals) that ruined my inner peace. I had obsessions about death, afterlife, hell, heaven and day of judgement. I had intense thoughts that life of this world is just temporary and meaningless so why do we celebrate a birth of child, why do we study, work and enjoy things that are perishable and volatile. Maybe other people also ruminate on these things but a thought of a mental patient is far different from a person who is not a mental patient ( I didn’t use word ‘normal’ here because mental patients are not abnormal).

The obsessions were so intense that they made me psychotic. I kept on thinking about it and keep convincing myself, seek reassurance (mental rituals) which gave me peace of few minutes and same idea popped up again in my mind followed by re-assurance and same cycle goes on. In that period of almost 2-3 months I couldn’t perform simple day-to-day tasks, like washing hands, taking bath, eating food etc. My mind was always thinking and thinking without expecting new results.

I was not in my home country that time. Upon returning back, I consulted with my Pdoc and he prescribed me Epival (Divalproex sodium) and increased Risperdone. It was the same prescription that I used ┬áto have previously in hypo/manic period. That made me wonder if there is some connection between OCD and Mania. Because previously when I was hypomanic, I got super excited and energised. But this time I didn’t get excited, apparently I was very normal with emotions, just had these obsessive thoughts.

Along with OCD, my anxiety was also increased. I was unable to travel because I became anxious and impatient while in traffic or in metro or malls. I consciously avoided public places when I had a choice. Moreover, I always felt full bladder, and felt an urgency of urine, though I didn’t have a need to go to washroom in real.

Also, I had health anxiety, whenever I heard about anyone’s disease in family or on television, I feared if I might have that illness, I spent hours in anxiety and panic thinking what would happen if I have that disease. It was a miserable state.

Secondly, I want to have your opinion regarding changing the environment. Does anyone get severe illness symptoms when you changed your environment? moved to different city or country? does travelling and changing place trigger your depressive or manic symptoms?

Blessings

Rayan.